Organization Active NPI

Starberrie Nutrition

  • Nutritionist
  • San Francisco, CA
National Provider Identifier
1699368860
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
STARBERRIE NUTRITION
Practice address
2460 39TH Ave
San Francisco, CA 94116-2153
Phone
(818) 293-7367
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lillie Nguyen, DCN, CNS, LDNNPI 1962038216
Title
Owner/Ceo
Phone
(818) 293-7367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

2460 39TH Ave
San Francisco, CA 94116-2153

Mailing address

2460 39TH Ave
San Francisco, CA 94116-2153
Phone (818) 293-7367

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1699368860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 39TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162153",
            "telephone_number": "818-293-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 39TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162153",
            "telephone_number": "818-293-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBERRIE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "818-293-7367",
        "authorized_official_credential": "DCN, CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.